Organization
THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Active
Other names
Rogers City Middle - High School
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDE BOLANOWSKI (CREDENTIALING SPECIALIST)
(989) 354-2197
Entity
Organization
Contact information
Practice address
1033 W HURON AVE RM TB1, ROGERS CITY, MI 49779-1428
(989) 734-2052
(989) 734-7390
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197
(989) 354-1957
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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